#429: Pelvic Organ Prolapse: Preoperative Screening for Uterine Malignancy

Quality ID

429

High Priority Measure

Yes

Specifications

Registry

Measure Type

Process

Specialty

Obstetrics/Gynecology Urology

Measure Description

Percentage of patients who are screened for uterine malignancy prior to vaginal closure or obliterative surgery for pelvic organ prolapse

 

Instructions

This measure is to be submitted each time a prolapse organ repair surgery is performed during the performance period. There is no diagnosis associated with this measure. This measure may be submitted by eligible clinicians who perform the quality actions described in the measure based on the services provided and the measure-specific denominator coding.

Measure Submission:

The listed denominator criteria is used to identify the intended patient population. The numerator options included in this specification are used to submit the quality actions allowed by the measure. The quality-data codes listed do not need to be submitted for registry submissions; however, these codes may be submitted for those registries that utilize claims data

 

Denominator

All patients undergoing surgery for pelvic organ prolapse involving vaginal closure/ obliterative procedure

Denominator Criteria (Eligible Cases):

All patients, regardless of age

AND

Patient procedure during the performance period (CPT): 57106, 57110, 57120

AND NOT

DENOMINATOR EXCLUSION:

Patients who have had a hysterectomy: G9774

 

Numerator

Number of patients screened for uterine malignancy or those that had an ultrasound and/or endometrial sampling of any kind

Numerator Options:

Performance Met: Documentation of screening for uterine malignancy, or those that had an ultrasound and/or endometrial sampling of any kind (G9618)

OR

Performance Not Met: Patient not screened for uterine malignancy, or those that have not had an ultrasound and/or endometrial sampling of any kind, reason not given (G9620)

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